Will Molina Healthcare of Ohio Pay for Breast Reduction?

asked 2 years ago by bbphat224 in ohio
Latest answer by Tom J. Pousti, MD
Question viewed 716 times
Tags: sagging, back pain, DDD cup, insurance, pain, reduce

I am a 38 DDD, my breasts are heavy and do sag. I get a lot of neck, shoulder, and back pain b/c of them. I do have indentations on my shoulders from my bra straps and under my breasts are always red.

How do I go about getting this started and most importantly, will Molina Healthcare cover it? Any feedback is most appreciated, thank you.

5 answers to Will Molina Healthcare of Ohio Pay for Breast Reduction?

Breast Reduction and Insurance Coverage?

Unfortunately, the only way to know about your specific policy is to call the insurance company directly. The best way to obtain insurance coverage for breast reduction surgery involves some “hoops” to jump through. The more documentation you have (for example, from your primary care doctor, physical therapist, chiropractor etc.) the better when it comes to obtaining insurance “authorization” for the procedure. This documentation and letter/pictures... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Breast reduction coverage

Every insurance company is a bit different with regards to coverage for a breast reduction. You should contact your insurance company to find out their criteria.

Steven Wallach, MD
Manhattan Plastic Surgeon

Insurance coverage for breast lift or breast reduction.

Answer by George J. Beraka, MDManhattan Plastic Surgeon80% of breast reduction questions on RealSelf are about insurance coverage. Here are some helpful points. 1) Insurance companies try very hard not to pay for breast reduction, even though they should. Even small breast reductions relieve many symptoms such as back pain and shoulder pain, and even some types of headaches. 2) Very big reductions (like from an F cup to a C cup) will usually be covered. 3) Many policies will pay for breast... more

George J. Beraka, MD
Manhattan Plastic Surgeon

Insurance may cover breast reduction surgery

Insurance coverage for breast reduction surgery has become more difficult over the years with insurance companies tightening their requirements for approval. To optomize your chances of being approved you should first go to your insurance companies website. There you will find the requirements necessary for you to meet to be approved. A letter from your primary care physician, in addition to one from a plastic surgeon (along with pictures), are usually required. There is also a minimum... more

David A. Robinson, MD
Munster Plastic Surgeon

Insruance coverage for breast reduction

You should be examined by a participating plastic surgeon, who can then compose a letter of predetermination of benefits to be submitted to your health care provider.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

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